The calculated distance (air line) between Acilia-Castel Fusano-Ostia Antica and Pistoia is approximately 166 miles respectively 267 kilometers.
By car or train, the actual journey to Pistoia is certainly longer, as only the direct route (as the crow flies) between Acilia-Castel Fusano-Ostia Antica and Pistoia has been calculated here.
Air line (approximately)
267 kilometers
144 nautical miles